Cycle 1
Health 2024-08-09 · Fire 2024-08-09
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Middle Island, NY
Surge Rehabilitation And Nursing LLC
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
49 Oakcrest Ave, Middle Island, NY
(631) 924-8820
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
164
Certified beds
Average residents
136
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Paragon Healthnet
Operator or chain grouping
Approved since
1973-06-25
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 5 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.66
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.09
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.46
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.21
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.74
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.61
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
48%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,068
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9944
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.26
Baseline 18.15% · Performance 17.60% · Measure score 8.26 · Achievement 8.26 · Improvement 4.41
Healthcare-associated infections
0
Baseline 8.18% · Performance 8.43% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.42
Baseline 38.52% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 3.30
Adjusted total nurse staffing
0.89
Baseline 2.86 hours · Performance 3.27 hours · Measure score 0.89 · Achievement 0.66 · Improvement 0.89
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.03% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 380 · Observed rate 7.63% · Lower 95% interval 6.64% |
| Discharge to community | 56.31% |
50.57%
5.7 pts better
|
Better than the National Rate · Eligible stays 400 · Observed rate 50% · Lower 95% interval 50.99% |
| Medicare spending per beneficiary | 1.51 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 99.7% |
95.27%
4.4 pts better
|
Numerator 336 · Denominator 337 |
| Falls with major injury | 0.59% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 337 |
| Discharge self-care score | 69.09% |
53.69%
15.4 pts better
|
Numerator 152 · Denominator 220 |
| Discharge mobility score | 72.27% |
50.94%
21.3 pts better
|
Numerator 159 · Denominator 220 |
| Pressure ulcers or injuries, new or worsened | 1.19% |
2.29%
1.1 pts better
|
Numerator 4 · Denominator 337 · Adjusted rate 0.84% |
| Healthcare-associated infections requiring hospitalization | 8.43% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 256 · Observed rate 9.77% · Lower 95% interval 5.98% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 309 |
| Staff flu vaccination coverage | 22.73% |
42%
19.3 pts worse
|
Numerator 75 · Denominator 330 |
| Discharge function score | 75.45% |
56.45%
19 pts better
|
Numerator 166 · Denominator 220 |
| Transfer of health information to provider | 99.49% |
95.95%
3.5 pts better
|
Numerator 194 · Denominator 195 |
| Transfer of health information to patient | 95.16% |
96.28%
1.1 pts worse
|
Numerator 59 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 22.83% |
25.2%
2.4 pts worse
|
Numerator 42 · Denominator 184 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.2 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.2%
8.1 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.1% · Q3 100.0% · Q4 99.0% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% |
95.3%
0.4 pts better
|
95.5%
0.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.0%
0.8 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.7% · Q3 2.8% · Q4 2.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.7% |
18.5%
5.8 pts better
|
11.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 20.0% · Q3 17.0% · Q4 6.3% · 4Q avg 12.7% |
| Percentage of long-stay residents who lose too much weight | 8.1% |
6.1%
2 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 10.3% · Q3 7.0% · Q4 3.3% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.6% |
13.5%
8.1 pts worse
|
19.6%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 23.6% · Q3 22.6% · Q4 18.0% · 4Q avg 21.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.3% |
14.8%
5.5 pts worse
|
16.7%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 24.7% · Q3 19.1% · Q4 17.9% · 4Q avg 20.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.5% |
15.1%
0.6 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 19.1% · Q3 10.7% · Q4 14.8% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.4% |
15.5%
0.1 pts better
|
14.9%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 20.4% · Q3 11.1% · Q4 15.1% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.9% |
20.8%
4.9 pts better
|
19.8%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 22.1% · Q3 7.1% · Q4 15.9% · 4Q avg 15.9% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
6.9%
1.7 pts better
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 4.5% · Q3 6.3% · Q4 5.4% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.7% |
76.7%
11 pts better
|
81.7%
6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 84.8% · Q2 81.8% · Q3 90.9% · Q4 93.3% · 4Q avg 87.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.8% |
9.7%
5.9 pts better
|
12.0%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.8% · Observed 4.1% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.2%
0.6 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.8% · Q3 1.7% · Q4 2.6% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.6% |
78.8%
1.2 pts worse
|
79.7%
2.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.3% |
20.6%
0.3 pts better
|
23.9%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 23.6% · Expected 27.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-06 · Fire 2022-12-06
2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-11-25 · Fire 2019-11-25
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-08-09
K163 · Construction Deficiencies
Fire Safety
Install noncombustible or limited-combustible interior walls.
Corrected 2024-08-21
D · Potential for more than minimal harm
2024-08-09
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-21
F · Potential for more than minimal harm
2022-12-06
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-01-26
D · Potential for more than minimal harm
2022-12-06
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-10
D · Potential for more than minimal harm
2022-12-06
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-01-04
E · Potential for more than minimal harm
2019-11-25
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2020-01-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-13
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-10-08
D · Potential for more than minimal harm
2024-08-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-03
F · Potential for more than minimal harm
2022-12-06
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-01-31
D · Potential for more than minimal harm
2022-12-06
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-31
D · Potential for more than minimal harm
2019-11-25
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2020-01-17
D · Potential for more than minimal harm
2019-11-25
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-01-17
Penalties and ownership
What sits behind the stars
Ownership
Laufer, Issac
5% Or Greater Direct Ownership Interest · Individual
Braver, Moshe
5% Or Greater Direct Ownership Interest · Individual
Lebowitz, Chaim
5% Or Greater Direct Ownership Interest · Individual
Lebowitz, Max
5% Or Greater Direct Ownership Interest · Individual
Braver, Moshe
Corporate Officer · Individual
Laufer, Issac
Corporate Officer · Individual
Laufer, Issac
Contracted Managing Employee · Individual
Lebowitz, Chaim
Corporate Officer · Individual
Lebowitz, Max
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Quantum Rehabilitation And Nursing L L C
Middle Island, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Allegria Nursing & Rehab Center Of Port Jefferson
Port Jefferson Stati, NY
2-star overall rating with 1-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Medford Multicare Center For Living
Medford, NY
1-star overall rating with 1-star inspections with $134,713 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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